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[Extra peritoneal laparoscopic radical prostatectomy. Preliminary results]
Juan Antonio Peña González1, José Luis González Sala, Darío García Rojo
1Unidad de Urología, Hospital de Sabadell Corporació Sanitaria Parc Tauli, Barcelona, España. japena@cspt.es
Archivos Espanoles De Urologia
|January 25, 2006
Summary
Extraperitoneal laparoscopic radical prostatectomy (ELRP) is feasible with experienced teams, though initial learning curves show longer operative times. This initial experience indicates ELRP can be performed without major complications.
Area of Science:
- Urology
- Minimally Invasive Surgery
Context:
- Laparoscopic radical prostatectomy (LRP) is a standard treatment for localized prostate cancer.
- Extraperitoneal access (ELRP) offers an alternative surgical approach to LRP.
Purpose:
- To present the initial experience with extraperitoneal laparoscopic radical prostatectomy (ELRP).
- To describe the surgical procedure, technical difficulties, operative time, and complications associated with ELRP.
Summary:
- Seventeen ELRP procedures were analyzed, with 8 completed laparoscopically and 9 converted to open surgery.
- Mean operative time was 304 minutes, with a 13% transfusion rate and 26% positive surgical margins.
- No major complications or instances of ileus were observed, though one catheter placement required revision.
Impact:
- ELRP is a feasible technique requiring an experienced laparoscopic team and significant effort, particularly regarding operative time.
- The initial learning curve for ELRP did not result in significant complications.